{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:10:47Z","timestamp":1763464247888,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: A knee fusion is associated with considerable restrictions, including the inability to sit properly, use public transportation, and climb stairs. The purpose of this study is to report and discuss our cases of spontaneous ankylosed knees which were taken down and underwent total knee arthroplasty (TKA).\nMethods: Six patients who experienced spontaneous ankylosis of the knee undergoing conversion to TKA between 2003\u20132012 were enrolled retrospectively in this study. The etiology was childhood pyogenic arthritis in 2 patients, intraarticular fractures in 2, gunshot in 1, and juvenile rheumatoid arthritis in 1. The clinical data were recorded with the use of the Hospital for Special Surgery (HSS) knee rating system, Western Ontario and McMaster Questionnaire (WOMAC), and Visual Analog Scale (VAS), preoperatively and postoperatively at final follow-up.\nResults: The average follow-up time was 86 months (range: 22\u2013126 months). At the final follow-up, the average range of active flexion was 85\u00b0 (range: 75\u201395\u00b0). Postoperative average HSS knee rating system was improved from 19.5 (range: 18\u201322) to 57.49 (range: 46\u201380), WOMAC was improved from 39.75 (range: 36.4\u201343) to 62.41 (range: 50.8\u201374.5). VAS was improved from 9.5 (range: 7\u20139) to 2.8 (range: 2\u20134). A pyogenic infection developed in 2 patients; 1 was managed by debridement, and 1 was managed by arthrodesis 2 years later.\nConclusion: The ability to walk and sit in a normal fashion is of great importance for patients. With good preoperative planning and careful handling, gratifying results are possible with TKA.\n \n\n \n\n \n\n\u00d6zet\n\n \n\n\u00d6zet:\n\nAma\u00e7:\n\nAnkiloze olan diz eklemi uygun \u015fekilde oturma, merdiven ve toplu ta\u015f\u0131man\u0131n kullan\u0131m\u0131 dahil olmak \u00fczere belirgin k\u0131s\u0131tl\u0131l\u0131klara yol a\u00e7ar. Bu \u00e7al\u0131\u015fma ile amac\u0131m\u0131z, ankiloz geli\u015fmi\u015f olan ve total diz artroplastisi uygulanm\u0131\u015f olgular\u0131m\u0131z\u0131n sonu\u00e7lar\u0131 bildirmek ve tart\u0131\u015fmakt\u0131r.\n\nHastalar ve metot:\n\nBu \u00e7al\u0131\u015fmada 2003 ile 2012 y\u0131llar\u0131 aras\u0131nda diz ekleminde ankiloz nedeni ile total diz artroplastisi uygulanm\u0131\u015f olan 6 hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Ankiloze dizlerin etiyolojilerine bakt\u0131\u011f\u0131m\u0131zda, 2 hastada \u00e7ocukluk d\u00f6neminde ge\u00e7irilmi\u015f piyojenik artrit, 2 hastada eklem i\u00e7i k\u0131r\u0131k, bir hastada ate\u015fli silah yaralanmas\u0131 ve 1 hastada ise romatoid artrit bulunmakta idi. Klinik de\u011ferlendirme, ameliyat \u00f6ncesi ve ameliyat sonras\u0131 son takipte \u2018\u2019The Hospital for Special Surgery\u2019\u2019 (HSS) diz derecelendirme sistemi, \u2018\u2019Western Ontario Mac Master Anketi\u2019\u2019 (WOMAC) ve g\u00f6rsel analog skala (VAS) kullan\u0131larak yap\u0131ld\u0131.\n\nBulgular:\n\nOrtalama takip s\u00fcresi 86 ay idi (22-126). Son kontrolde ortalama hareket a\u00e7\u0131kl\u0131\u011f\u0131 85\u00b0 (75\u00b0-95\u00b0)idi. \u0130ki hastada 10\u00b0ekstansiyonda k\u0131s\u0131tl\u0131l\u0131k var idi. Ameliyat sonras\u0131nda ortalama HSS skorlar\u0131n\u0131n 19.5 (18-22) tan 57.49\u2019a (46-80), WOMAC skorlar\u0131n\u0131n 39.75\u2019ten (36.4-43) 62.41\u2019e (50.8-74.5) y\u00fckseldi\u011fi g\u00f6r\u00fcld\u00fc. VAS skorlar\u0131 ise 9.5\u2019ten (7-9) 2.8\u2019e (2-4) geriledi. 2 hastada enfeksiyon geli\u015fti. Bir hastada debridman ile tedavi sa\u011flan\u0131rken, di\u011fer hastada 2 y\u0131l sonra artrodez yap\u0131ld\u0131.\n\n&lt;span style=\"\\&amp;quot;text-decoration:\" underline;\\\"=\"\"&gt;\u00c7\u0131kar\u0131mlar:\n\nT\u00fcm risk ve komplikasyonlar\u0131na ra\u011fmen y\u00fcr\u00fcme ve normal bir \u015fekilde oturabilmek hastalar i\u00e7in \u00e7ok \u00f6nemlidir. \u0130yi bir cerrahi \u00f6ncesi planlama ve dikkatli bir cerrahi ile iyi sonu\u00e7lar al\u0131nmas\u0131 m\u00fcmk\u00fcnd\u00fcr.\n\nAnahtar kelimeler:\n\nDiz replasman artroplastisi, diz ankilozu, diz artrodezi<\/jats:p>","DOI":"10.3944\/aott.2015.14.0304","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T09:17:10Z","timestamp":1430731030000},"source":"Crossref","is-referenced-by-count":3,"title":["Total knee arthroplasty after osseous ankylosis of the knee joint"],"prefix":"10.5152","volume":"49","author":[{"given":"Emrah","family":"Kovalak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ata","family":"Can","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nese","family":"Stegemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayse","family":"Ovul Erdogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahri","family":"Erdogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3021\/2974","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:08:14Z","timestamp":1763464094000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2015,1,5]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0304","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}